Roux-Y Gastric Bypass and Sleeve Gastrectomy directly change gut microbiota composition independent of surgery type DOI Creative Commons
Fernanda L. Paganelli, Misha Luyer,

C. Marijn Hazelbag

et al.

Scientific Reports, Journal Year: 2019, Volume and Issue: 9(1)

Published: July 29, 2019

Abstract Bariatric surgery in morbid obesity, either through sleeve gastrectomy (SG) or Roux-Y gastric bypass (RYGB), leads to sustainable weight loss, improvement of metabolic disorders and changes intestinal microbiota. Yet, the relationship between gut microbiota, loss surgical procedure remains incompletely understood. We determined temporal microbiota composition 45 obese patients undergoing crash diet followed by SG ( n = 22) RYGB 23). Intestinal was before intervention (baseline, S1), 2 weeks after (S2), 1 week (S3), 3 months (S4) 6 (S5) surgery. Relative S1, microbial diversity index declined at S2 S3 p < 0.05), gradually returned baseline levels S5. Rikenellaceae relative abundance increased Ruminococcaceae Streptococcaceae decreased 0.05). At S3, Bifidobacteriaceae decreased, whereas those Enterobacteriaceae Increased S3-S5 not associated with major composition. No significant differences appeared both procedures. In conclusion, a bariatric were an immediate but temporary decline diversity, permanent composition, independent type.

Language: Английский

Role of gut microbiota in type 2 diabetes pathophysiology DOI Creative Commons
Manoj Gurung, Zhipeng Li,

Hannah You

et al.

EBioMedicine, Journal Year: 2020, Volume and Issue: 51, P. 102590 - 102590

Published: Jan. 1, 2020

A substantial body of literature has provided evidence for the role gut microbiota in metabolic diseases including type 2 diabetes. However, reports vary regarding association particular taxonomic groups with disease. In this systematic review, we focused on potential different bacterial taxa affecting We have summarized from 42 human studies reporting microbial associations disease, and identified supporting preclinical or clinical trials using treatments probiotics. Among commonly reported findings, genera Bifidobacterium, Bacteroides, Faecalibacterium, Akkermansia Roseburia were negatively associated T2D, while Ruminococcus, Fusobacterium, Blautia positively T2D. also discussed molecular mechanisms effects onset progression

Language: Английский

Citations

1364

Metabolism and Metabolic Disorders and the Microbiome: The Intestinal Microbiota Associated With Obesity, Lipid Metabolism, and Metabolic Health—Pathophysiology and Therapeutic Strategies DOI
Judith Aron‐Wisnewsky, Moritz V. Warmbrunn, Max Nieuwdorp

et al.

Gastroenterology, Journal Year: 2020, Volume and Issue: 160(2), P. 573 - 599

Published: Nov. 27, 2020

Language: Английский

Citations

305

Gut microbiome and its role in obesity and insulin resistance DOI
Clare J. Lee, Cynthia L. Sears, Nisa M. Maruthur

et al.

Annals of the New York Academy of Sciences, Journal Year: 2019, Volume and Issue: 1461(1), P. 37 - 52

Published: May 14, 2019

Obesity is a complex metabolic disease caused, in part, by the interaction between an individual's genetics, metabolism, and environment. Emerging evidence supports role of gut microbiota mediating host environment extracting energy from food otherwise indigestible producing metabolites cytokines that affect metabolism. Furthermore, microbial imbalance or dysbiosis has been shown diseases including obesity, recent studies are beginning to unravel mechanisms involved. The affects metabolism obesity through several pathways involving barrier integrity, production affecting satiety insulin resistance, epigenetic factors, bile acids subsequent changes signaling. While field microbiome its early stage development, it holds promising future providing us with novel therapeutic targets may restore healthy state help prevention treatment obesity.

Language: Английский

Citations

277

Obesity induces ovarian inflammation and reduces oocyte quality DOI Open Access
Alexandria P Snider, Jennifer R. Wood

Reproduction, Journal Year: 2019, Volume and Issue: 158(3), P. R79 - R90

Published: April 18, 2019

In the United States, 36.5% of women between ages 20 and 39 years are obese. This obesity results in not only metabolic disorders including type II diabetes cardiovascular disease, but also impaired female fertility. Systemic tissue-specific chronic inflammation oxidative stress common characteristics obesity. is true ovary. Several studies have demonstrated that pro-inflammatory cytokines reactive oxygen species alter estrous cyclicity, steroidogenesis ovulation. Inflammation impair meiotic cytoplasmic maturation oocyte which reduces its developmental competence for fertilization pre-implantation embryo development. Interestingly, there recent evidence obesity- and/or polycystic ovary syndrome (PCOS)-dependent changes to gut microbiome contributes ovarian inflammation, expression mRNAs oocyte. However, several gaps remain necessitating future identify mechanisms reduce function quality.

Language: Английский

Citations

239

Effects of Diet versus Gastric Bypass on Metabolic Function in Diabetes DOI Open Access
Mihoko Yoshino, Brandon D. Kayser, Jun Yoshino

et al.

New England Journal of Medicine, Journal Year: 2020, Volume and Issue: 383(8), P. 721 - 732

Published: Aug. 19, 2020

Some studies have suggested that in people with type 2 diabetes, Roux-en-Y gastric bypass has therapeutic effects on metabolic function are independent of weight loss.

Language: Английский

Citations

211

Weight‐loss interventions and gut microbiota changes in overweight and obese patients: a systematic review DOI
Fernanda Braga Seganfredo, Carina Andriatta Blume, Milene Moehlecke

et al.

Obesity Reviews, Journal Year: 2017, Volume and Issue: 18(8), P. 832 - 851

Published: May 19, 2017

Summary Imbalances in the gut microbiota, bacteria that inhabit intestines, are central to pathogenesis of obesity. This systematic review assesses association between microbiota and weight loss overweight/obese adults its potential manipulation as a target for treating identified 43 studies using keywords ‘overweight’ or ‘obesity’ ‘microbiota’ related terms; among these studies, 17 used dietary interventions, 11 bariatric surgery 15 manipulation. The differed their methodologies well intervention lengths. Restrictive diets decreased abundance, correlated with nutrient deficiency rather than generally reduced butyrate producers Firmicutes, Lactobacillus sp. Bifidobacterium impact surgical depended on given technique showed similar effect producers, addition increasing presence Proteobacteria phylum, which is changes intestinal absorptive surface, pH digestion time. Probiotics strain duration diverse effects they tended reduce body fat. Prebiotics had bifidogenic increased likely due cross‐feeding interactions, contributing barrier improving metabolic outcomes. All interventions under consideration impacts although did not always correlate loss. These results show restrictive microbial abundance promote composition could have long‐term detrimental colon. In contrast, prebiotics might restore healthy microbiome

Language: Английский

Citations

190

Mechanisms underlying the weight loss effects of RYGB and SG: similar, yet different DOI Creative Commons
Andrea Pucci, Rachel L. Batterham

Journal of Endocrinological Investigation, Journal Year: 2018, Volume and Issue: 42(2), P. 117 - 128

Published: May 5, 2018

The worldwide obesity epidemic continues unabated, adversely impacting upon global health and economies. People with severe suffer the greatest adverse consequences reduced life expectancy. Currently, bariatric surgery is most effective treatment for people obesity, resulting in marked sustained weight loss, improved obesity-associated comorbidities mortality. Sleeve gastrectomy (SG) Roux-en-Y gastric bypass (RYGB), common procedures undertaken globally, engender loss metabolic improvements by mechanisms other than restriction malabsorption. It now clear that a plethora of gastrointestinal (GI) tract-derived signals plays critical role energy glucose regulation. SG RYGB, which alter GI anatomy nutrient flow, impact these ultimately leading to improvements. However, whilst highly overall, at individual level, post-operative outcomes are variable, proportion patients experiencing poor long-term outcome gaining little benefit. RYGB markedly different anatomically thus differentially signalling bodyweight Here, we review proposed cause following SG. We highlight similarities differences between two focus on gut hormones, bile acids microbiota. A greater understanding procedure-related will allow surgical procedure choice be tailored maximise post-surgery facilitate discovery non-surgical treatments obesity.

Language: Английский

Citations

183

Reversing Type 2 Diabetes: A Narrative Review of the Evidence DOI Open Access
Sarah J. Hallberg, Victoria M. Gershuni,

Tamara L. Hazbun

et al.

Nutrients, Journal Year: 2019, Volume and Issue: 11(4), P. 766 - 766

Published: April 1, 2019

Type 2 diabetes (T2D) has long been identified as an incurable chronic disease based on traditional means of treatment. Research now exists that suggests reversal is possible through other have only recently embraced in the guidelines. This narrative review examines evidence for T2D using each three methods, including advantages and limitations each.

Language: Английский

Citations

151

Systematic review: gastric microbiota in health and disease DOI
Mirjana Rajilić‐Stojanović, Céu Figueiredo, Annemieke Smet

et al.

Alimentary Pharmacology & Therapeutics, Journal Year: 2020, Volume and Issue: 51(6), P. 582 - 602

Published: Feb. 13, 2020

Abstract Background Helicobacter pylori is the most infamous constituent of gastric microbiota and its presence strongest risk factor for cancer other gastroduodenal diseases. Although historically healthy stomach was considered a sterile organ, we now know it colonised with complex microbiota. However, role in health disease not well understood. Aim To systematically explore literature on as gut after bariatric surgery. Methods A systematic search online bibliographic databases MEDLINE/EMBASE performed between 1966 February 2019 screening accordance Preferred Reporting Items Systematic Reviews Meta‐Analyses guidelines. Randomised controlled trials, cohort studies observational were included if they reported next‐generation sequencing derived analysis aspirate/tissue or stool samples (bariatric surgical outcomes). Results Sixty‐five papers eligible inclusion. With exception H ‐induced conditions, overarching signatures could be determined. Gastric carcinogenesis induces progressively altered an enrichment oral intestinal taxa significant changes host mucin expression. Proton pump inhibitors usage increases richness. Bariatric surgery associated increase potentially pathogenic proteobacterial species patient samples. Conclusion While remains single important disease, capacity to shape collective fully elucidated. Further are needed intricate host/microbial microbial/microbial interplay.

Language: Английский

Citations

145

The Role of the Gut Microbiota in the Pathogenesis of Diabetes DOI Open Access
Weronika Bielka,

Agnieszka Przezak,

Andrzej Pawlik

et al.

International Journal of Molecular Sciences, Journal Year: 2022, Volume and Issue: 23(1), P. 480 - 480

Published: Jan. 1, 2022

Diabetes mellitus is a significant clinical and therapeutic problem because it can lead to serious long-term complications. Its pathogenesis not fully understood, but there are indications that dysbiosis play role in the development of diabetes, or appears during course disease. Changes microbiota composition observed both type 1 diabetes (T1D) 2 (T2D) patients. These modifications associated with pro-inflammation, increased intestinal permeability, endotoxemia, impaired β-cell function insulin resistance. This review summarizes gut healthy individuals changes bacterial be T1D T2D. It also presents new developments therapy based on influencing as promising method alter diabetes. Moreover, highlights lacking data suggests future directions needed prove causal relationship between

Language: Английский

Citations

108